頭痛有哪些不同類型?

Headaches are broadly categorized into primary and secondary types, based on their underlying causes. Here's a detailed look at the different types of headaches:

Primary Headaches

Primary headaches are not associated with any other medical condition and arise from the headache condition itself.

  1. Tension Headaches

    • Description: The most common type of primary headache. Characterized by a constant, dull ache, often felt on both sides of the head.
    • Symptoms: Tightness or pressure around the forehead, temples, or back of the head and neck. Can last from 30 minutes to several hours.
    • Triggers: Stress, anxiety, poor posture, and muscle strain.
  2. Migraine Headaches

    • Description: Often severe, pulsating headaches that can last from a few hours to several days. Can significantly affect daily activities.
    • Symptoms: Throbbing pain, typically on one side of the head, nausea, vomiting, sensitivity to light, sound, or smell. May include aura (visual disturbances).
    • Triggers: Hormonal changes, certain foods and drinks, stress, sleep disturbances, sensory stimuli.
  3. Cluster Headaches

    • Description: Intense headaches that occur in cyclical patterns or clusters. More common in men than women.
    • Symptoms: Severe, piercing pain around one eye, with possible eye redness, tearing, nasal congestion, or a runny nose on the affected side. Attacks can last from 15 minutes to 3 hours.
    • Triggers: Alcohol, strong smells, seasonal changes.
  4. Chronic Daily Headaches

    • Description: Headaches occurring 15 or more days per month for more than three months. Can include chronic tension-type headaches or transformed migraines.
    • Symptoms: Vary depending on the type but generally involve continuous or frequent headache episodes.

Secondary Headaches

Secondary headaches are a symptom of an underlying health issue.

  1. Sinus Headaches

    • Description: Associated with sinus infections or inflammation (sinusitis).
    • Symptoms: Deep, constant pain in the cheekbones, forehead, or bridge of the nose. Pain usually intensifies with sudden head movement or straining.
    • Causes: Infections, nasal polyps, allergies.
  2. Medication Overuse Headaches (Rebound Headaches)

    • Description: Caused by overuse of headache medications.
    • Symptoms: Daily or almost daily headaches, often waking the person early in the morning.
    • Causes: Frequent use of pain relievers or migraine medications.
  3. Hormone Headaches

    • Description: Linked to hormonal changes.
    • Symptoms: Similar to migraines or tension headaches.
    • Causes: Menstrual cycle, pregnancy, menopause, hormonal medications.
  4. Caffeine-Related Headaches

    • Description: Associated with caffeine withdrawal.
    • Symptoms: Throbbing headache, usually starting behind the eyes and moving up the front of the head.
    • Causes: Reduction or elimination of caffeine intake.
  5. Exertional Headaches

    • Description: Triggered by physical activity.
    • Symptoms: Pulsating pain, often on both sides of the head, lasting from a few minutes to several hours.
    • Causes: Strenuous exercise, coughing, sneezing, or sexual activity.
  6. Hypertension Headaches

    • Description: Occur due to high blood pressure.
    • Symptoms: Dull, throbbing pain, often worse in the morning.
    • Causes: Severely high blood pressure.
  7. Temporal Arteritis

    • Description: Inflammation of the blood vessels in the scalp.
    • Symptoms: Severe, throbbing pain, usually in the temples. Can also cause jaw pain, vision problems, and scalp tenderness.
    • Causes: Autoimmune response, more common in older adults.
  8. Post-Traumatic Headaches

    • Description: Develop after a head injury.
    • Symptoms: Vary widely, can resemble tension or migraine headaches.
    • Causes: Head injury or trauma.
  9. Spinal Headaches

    • Description: Occur after a spinal tap or epidural anesthesia.
    • Symptoms: Intense headache that worsens when sitting or standing and improves when lying down.
    • Causes: Leakage of cerebrospinal fluid.
  10. Thunderclap Headaches

    • Description: Sudden, severe headaches that reach maximum intensity within 60 seconds.
    • Symptoms: Intense pain, often described as the worst headache ever.
    • Causes: Can be a sign of serious conditions like a subarachnoid hemorrhage, so immediate medical attention is necessary.

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